NHA EKG CERTIFICATION LATEST EXAM 2023-
2024 REAL EXAM 200 QUESTIONS AND
CORRECT ANSWERS(VERIFIED
ANSWERS)|AGRADE
EKG characteristics common to junctional rhythms - ANSWER- P wave
absent/inverted,
QRS is on long end of normal
What are injury and Infarction? - ANSWER- Injury: ST depression
Infarction: ST elevation
The brown lead in a 5-lead telemetry monitoring provide similar information to
which other lead? - ANSWER- Ground lead
What is a wandering baseline caused by? What does it represent? Explain 2 ways
to reduce artifact? - ANSWER- Wandering baseline: improper lead placement,
where they may be place above limb leads so have patient relax and breathe slowly
A seizure is an example of what type of artifact? - ANSWER- Somatic Tremor
What are the 2 classic signs of myocardial ischemia? - ANSWER- ST segment
depression, and T wave inversion
Which type of second degree heart block has an elongating PR interval? -
ANSWER- 1st degree heart block
Which type of heart block is also called Wenckebach? - ANSWER- Second
Degree Type 1
A diagnostic test involving injecting dye into the coronary arteries and taking a
moving x-ray. It is usually ordered to detect coronary artery occlusion. -
ANSWER- Angiography
What are the differences between an echocardiogram, electrocardiograph, and
electrocardiogram? - ANSWER- Echocardiogram: send waves to the look are the
heart
Electrocardiograph: The machine
Electrocardio(gram): The paper (light)
What is the most abundant electrolyte in the intracellular fluid of the cardiac
myocardium? - ANSWER- Calcium
What disease process can be diagnosed by an EKG? - ANSWER- Arrhythmias
Which coronary artery is known as the "widow-maker" - ANSWER- Left Artery
Descending
Which method of determining rhythm rate is the most accurate? - ANSWER- 1500
method
What is the difference between arteriosclerosis and atherosclerosis? - ANSWER-
(Ar)teriosclerosis: Hardening of arteries
(Ath)erosclerosis: Buildup of fat in the arteries
When is telemetry monitoring indicated (who are they for?) and where are the
electrodes placed? - ANSWER- Telemetry monitoring are for patients at High Risk
for Cardiac Complications.
The electrode placement:
- White: R shoulder
- Black: L shoulder
- Green: R leg
- Red: L leg
- Brown: on rib (NHA said but it should be ICS because if you put on rib it causes
electrical interference)
For EKG monitoring, instruct patient to remain as still as possible for ___ seconds
- ANSWER- 10 seconds
Explain the length of time and indications (reasons) for a Holter (ambulatory)
monitoring. - ANSWER- 24-72 hrs. and may help detect problems that don't
appear in a 12 lead EKG
Patients with Holter Monitors should or should not continue with normal exercise
routines? - ANSWER- Patient Should continue with normal exercise routine.
What should a patient do when they experience itching, swelling or redness where
the electrodes are placed? - ANSWER- They should notify CET
What kind of test requires patients to keep a journal or diary? - ANSWER- Holter
Monitor
What should a patient record in their journal for monitoring? When should a client
press the event maker? - ANSWER- - The patient should record symptoms,
medications taken, physical activity, and sleep
- Press event marker: when experiencing symptoms
What is also used during a stress test, in addition to electrodes? - ANSWER- A
treadmill
How should a CET prepare a patient before the stress test? - ANSWER- CET
informs patient
What instructions would you state to a patient in case electrodes for a Holter
Monitor fall off or malfunction? - ANSWER- Patient should be instructed to notify
staff and have CET replace them
What instructions should the patient be aware of regarding eating, drinking,
smoking, and medications? What is the time period? Will the patient be allowed to
smoke the night before? - ANSWER- - Patient can't eat before exam
- Can't drink or smoke 3 hours before exam
(MCL) Where should the brown lead of a five lead EKG be placed? When is it
used? - ANSWER- Placed just below the right bottom of the sternum
What kind of EKG is required for patients younger than 2 years old? For patients
ages 2-8? Older than 8? - ANSWER- 2 and younger: Right-sided EKG is required
2-8: Right-sided EKG
Older than 8: 12 lead EKG
What is the VS range of each? (<2>8) - ANSWER- Patients <2>
rate, 30-60 respiration, 96-99 F
(2-8): 80-150 rate, 15-34 respiration,96-98F
(>8): 70-120 rate, 18-30 resp, 96-98 F
What is the ventricular rate of junctional tachycardia? - ANSWER- 100-180
Category | Exams and Certifications |
Comments | 0 |
Rating | |
Sales | 0 |